Step I NBME 6 q - BS q

[determined1.]

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A 42-year-old man who is an accountant comes to the physician because of an 8-month history of anxiety during company meetings since being promoted to area manager. In his new position, he is required to make weekly presentations to the five other area managers and the board of directors. He says he is “gripped by anxiety” whenever he conducts the presentations or even thinks about them. He describes feelings of dizziness, palpitations, sweatiness, and general “dread”. He tries to avoid making the presentations and is concerned that others are noticing. He fears he may faint from anxiety during a presentation. What is the diagnosis?

Generalized anxiety disorder or Social phobia ?

 

[xxpmoney36xx]

Social phobia as his anxiety and fear centers around one specific thing - giving a presentation. GAD his anxiety would be omnipresent... in everything he does but in this case his anxiety stems from solely the thought of giving a presentation.

 

[Suture15]

Yup social phobia because there is only one trigger. GAD like the name implies would be present regardless of situation.

 

[determined1.]

I chose social phobia too, but other's say it's not social phobia because of his 8 month history.

 

[dfib slim]

I chose social phobia too, but other's say it's not social phobia because of his 8 month history.

DSM-5 says it typically lasts greater then 6 months.

 

[determined1.]

DSM-5 says it typically lasts greater then 6 months.

Are you talking about social phobia?

 

[dfib slim]

Are you talking about social phobia?

It's now called social anxiety disorder.

Anyway the DSM-4TR criteria didn't list a maximum time frame for adults.

 

[Suture15]

Well depends if NBME 6 came out before the changes or not. That is why doing these older NBMEs isn't always beneficial.

 

[determined1.]

I wanted to go over all of the old NBMEs, from 1--7. I was thinking it's worth it.

 

[determined1.]

Ok, so for sure it's Social anxiety disorder. I'll take that.